Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01564 | Date 09/10/2018 |
| Token No | SM/18-19/2613 09/10/2018 | Serial | 002 Last Visit: 09/10/2018 |
| Patient Name | Mr. SUPRABHAT PAL | Contact No | 9051714251 |
| Address | 29 P.N MUKHERJEE STREET | Age | 71 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 90/60 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||